Provider Demographics
NPI:1558124529
Name:DIEUVEL, JULIACIE
Entity Type:Individual
Prefix:
First Name:JULIACIE
Middle Name:
Last Name:DIEUVEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 WOODSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-1908
Mailing Address - Country:US
Mailing Address - Phone:516-582-7592
Mailing Address - Fax:
Practice Address - Street 1:14815 230TH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11413-4241
Practice Address - Country:US
Practice Address - Phone:718-528-5807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist